When building software, requirements are everything. And although good requirements do not necessarily lead to good software, poor requirements never do.   So how does this apply to electronic health records?   Electronic health records are defined primarily as repositories or archives of patient data. However, in the era of meaningful use,Continue Reading

Electronic health records are catching on.  Adoption rates are climbing, and there are more products,  more articles, more seminars, more complaints, and more debates.   Do EHR systems save money? Do they improve care? Do they lower productivity? Are they difficult to use? Do they make the patient narrative harder toContinue Reading

Evidence is mounting that providers are dissatisfied with their EHRs—so much so that they are willing to switch.   I don’t see this as unexpected or problematic.  It is simply a sign of a maturing market and the growing sophistication of EHR users, which I think bodes well for innovative vendors.Continue Reading

While putting together a set of EHR architecture/design study materials, I decided to go ahead and create another resource page.    As with the Clinical Workflow page, the Architecture and Design page will have PubMed, IEEE, and ACM citations.   The Architecture and Design page has been created to serve as aContinue Reading

Last month the Washington Post ran an article, Health-care Sector Vulnerable to Hackers, Researchers Say, which sounded alarms concerning the security of clinical systems.   Reflecting on the state of HIT security, the article quotes Avi Rubin, a security researcher: I have never seen an industry with more gaping security holes,”Continue Reading

Two weeks ago I wrote about the value of EHR timelines and audit trails. Today’s post takes that discussion a little further by demonstrating various ways of keeping track of data accesses and changes in EHR data element values.   Of course, this functionality is useful for any clinical database thatContinue Reading

As EHR use increases, the number of complaints about incoherent paper printouts has grown.  However, it isn’t just clinicians who are having problems.   EHRs Prove a Difficult Witness in Court , an article from the Journal of AHIMA, details the legal headaches that can occur as a result of theContinue Reading